Contact Lens & Anterior Eye

Specialise for special eyes in 2025
Vincent SJ and Cho P
Efficacy and safety of transient receptor potential channel modulators for dry eye: A systematic review and meta-analysis
Duan X, Ju M, Liu X and Hu J
To investigate the efficacy and safety of transient receptor potential (TRP) channel modulators for dry eye.
Corneal astigmatism after temporary discontinuation from long-term spherical and toric orthokeratology
Yang B, Liu L and Cho P
To investigate changes in corneal astigmatism (curvatures and corneal sagittal height difference (C-sagDiff) at 8-mm chord) after temporary discontinuation from long-term spherical and toric orthokeratology (ortho-k) lens wear in a Chinese population.
Diversity and composition of ocular microbiota in contact lens wearers: Efficacy of liposomal ozonated oil
Sánchez-González MC, Gallardo-Real I, Gutiérrez-Sánchez E, De-Hita-Cantalejo C, Capote-Puente R and Sánchez-González JM
To characterize the ocular surface microbiota in regular contact lens wearers with dry eyes and assess the effectiveness of reducing bacterial load using a liposomal ozonated oil solution.
Nanotechnology-based non-invasive strategies in ocular therapeutics: Approaches, limitations to clinical translation, and safety concerns
Chaudhari P, Lewis SA and Ghate V
The eye is a highly sensitive and vital component that significantly affects human quality of life. Diseases that affect the eye are major contributors to visual impairment and blindness and can have a profound effect on an individual's well-being. Ocular drug delivery is challenging because of physiological and anatomical barriers. Invasive Intravitreal administration is primarily used for the treatment and management of posterior segmental disease. However, frequent intravitreal administration is associated with adverse effects. Furthermore, topical administration results in less than 5% ocular bioavailability, leading to a void in the safe and efficacious management of posterior segment diseases. Nanocarrier-based systems have been well explored as ocular therapeutics to overcome the sub-therapeutic management attributed to conventional eye drops and physiological and anatomical barriers. Since the first report of nanoparticles to date, the nanocarrier system has come a long way with the simplicity and versatility offered by the system. Significant progress has been made in the development of noninvasive nanocarrier systems and their interactions with the ocular surface. The nanocarrier system enhances precorneal retention, limits nontherapeutic absorption, and offers controlled drug release. This review aims to provide an overview of the recent advancements in noninvasive nanocarrier-based topical ocular drug delivery systems, including their interaction with the ocular surface, the barriers to their translation to clinical settings, and the associated scale-up challenges.
Translation and validation of the 8-item contact lens dry eye questionnaire (CLDEQ-8) among Chinese soft contact lens wearers
Gao J, Lai Z, Hu Y and Yang X
To develop a Chinese version of the 8-item Contact Lens Dry Eye Questionnaire (CLDEQ-8) with cross-cultural adaption and clinical validation among soft contact lens wearers (SCL) in China.
Blink completeness and rate in dry eye disease: An investigator-masked, prospective registry-based, cross-sectional, prognostic study
Wang MTM, Power B, Xue AL and Craig JP
To investigate the prognostic ability of blink rate and the proportion of incomplete blinking to predict dry eye disease diagnosis, as defined by the TFOS DEWS II criteria.
Letter to the editor RE "Lid wiper epitheliopathy: Topical review of current identification strategies and future perspectives"
Vianya-Estopa M, Lievens C and Norgett Y
Comparison of two-year myopia control efficacy between spectacle lenses with highly aspherical lenslets and orthokeratology lenses
Liu Q, Chen Y, Feng Y, Zhang S, Mao X and Xu J
To compare the two-year efficacy of spectacle lenses with highly aspherical lenslets (HAL) and orthokeratology (OK) lenses in managing myopia in children.
Interocular astigmatic symmetry: A systematic review
Salvador-Roger R, Micó V and Esteve-Taboada JJ
The objective of this investigation was to consolidate the extant data pertaining to interocular astigmatic symmetry, with a view to discerning any patterns that may emerge from the research.
Contact lenses for visual rehabilitation in post-keratoplasty eyes: A systematic review
Khosravi Mirzaei S, Feizi S, Hatami F, Hatami F and Moshtaghion SM
To evaluate the role of contact lenses (CLs) in visual rehabilitation following keratoplasty.
Longitudinal changes in choroidal structures among children with low to moderate myopia under orthokeratology treatment
Xu S, Wang Y, Ruan Z, Wang S, Yin R, Tang X, Lu M, Chen W, Li Z and Yang X
To explore the longitudinal changes in choroidal features in myopic children with low to moderate myopia under orthokeratology (ortho-k) treatment.
Tear film stability in children: Age and sex associations explored through non-invasive tear break-up time
Silva FD, Linhares JMM, Jorge J and Lira M
The stability of the tear film is crucial for maintaining good ocular health. Its assessment provides valuable insights into paediatric eye conditions. This study investigates the stability of the tear film in children and its association with predictive factors such as age and sex, for a better understanding of tear film dynamics in a paediatric population.
Diurnal variation of visual functions for driving with and without orthokeratology: A multicenter study
Bandlitz S, Gruhl J, Oesker G, Lachenmaier D, Giepen C, Reck B, Hoppe O, Lagrèze WA and Wolffsohn JS
To investigate orthokeratology-related diurnal variations in visual acuity, contrast sensitivity, mesopic (twilight) vision, and glare sensitivity, and to verify compliance with requirements for driver licensing.
Development and evaluation of ocular antibiotic-loaded soluble film inserts
Desiato A, Iyire A, Bhogal-Bhamra G, Naroo SA and Gil-Cazorla R
Antibiotic eyedrops typically require frequent instillation due to the eye's defensive mechanisms limiting drugs from reaching target sites. This may risk patient non-adherence and treatment inefficacy. The aim of this study was to develop a biocompatible and fully soluble ocular film insert to enhance the delivery of levofloxacin, as well as the handling procedure for its administration; based on the anatomical dimensions and physiological conditions of the human eye. Inserts were prepared by solvent casting method, using HPMC, sodium alginate, gelatin, PEG 400, and levofloxacin solution, and characterised for various physicochemical properties (e.g., uniformity of weight and thickness, loss on dryness, swelling index, water uptake and surface pH). Mechanical properties were assessed and compared against a commercially available buccal film formulation. Uniformity of content and release profile of inserts were assessed by means of a validated analytical method. Antibacterial effectiveness was studied by adapted disc diffusion method on Staphylococcus aureus and Pseudomonas aeruginosa. The formulation including HPMC E15 (1250 mg), low viscosity sodium alginate (750 mg), type A gelatin (250 mg) and PEG 400 (2.5 mL) and 0.1% levofloxacin solution, resulted in high quality inserts, exhibiting uniformity of mass, thickness, and levofloxacin content, that comply with Pharmacopeial standards. Inserts were able to withstand unilinear and repeated mechanical stresses, suggesting suitability for manipulation linked to eye administration. The fully soluble levofloxacin-loaded inserts exhibited good physicochemical and mechanical characteristics, indicating good compatibility with ocular environment and administration procedure. Consistent levofloxacin content and biphasic release pattern showed immediate and sustained antimicrobial efficacy, consistently above the minimum inhibitory concentrations for the model species tested. This work also presents an experimental framework that can be adapted for designing and testing ocular drug delivery systems accounting for anatomical and physiological characteristics of the eye.
Digital eye strain and clinical correlates in older adults
Moore PA, Wolffsohn JS and Sheppard AL
To evaluate the screen time habits, associated symptoms and clinical characteristics of an older population (60 years and older) drawn from primary care optometry.
Randomised controlled trial on effects of topical insulin compared to artificial tears and normal saline on tear inflammatory mediator levels and clinical parameters in diabetics with dry eye disease
Atikah A, Suzana M, Wan Haslina WAH, Norshamsiah MD, Mushawiahti M, Birinder KSS, Tang SF and Bastion MLC
To assess the short-term effects of topical insulin (TI) as compared to topical Systane Ultra (Alcon, USA) as artificial tears (AT) and topical normal saline (NS) on tear inflammatory mediators; interleukin 1-alpha (IL-1a), interleukin 6 (IL-6) and matrix metalloproteinase 9 (MMP-9) and clinical dry eye parameters in diabetics with dry eye disease (DDED).
Artificial intelligence-assisted fitting method using corneal topography outcomes enhances success rate in orthokeratology lens fitting
Zhou X, Zeng L, Shen Y, Zhang Z, Wang C, Wang B, Kang P, Zhou X and Chen Z
Based on ideal outcomes of corneal topography following orthokeratology (OK), an innovative machine learning algorithm for corneal refractive therapy (CRT) was developed to investigate the precision of artificial intelligence (AI)-assisted OK lens fitting.
Validation and repeatability assessment of the Chinese version of the Ocular Surface Disease Index (OSDI), 5-item dry eye (DEQ-5), and contact lens dry eye questionnaire-8 (CLDEQ-8) questionnaires
Guo B, Chan KY, Li PH, Tse JSH, Liao X, Eng D, Chen C, Meng Z, Wei R, Cheong A, Ngo W and Lam TC
This prospective study aimed to validate the translated Chinese versions of the Ocular Surface Disease Index (OSDI), 5-Item Dry Eye (DEQ-5), and Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) questionnaires and test their repeatability.
Topical Ivermectin-metronidazole gel therapy improves Meibomian gland Function in blepharitis caused by demodex spp
Ávila MY, Quesada FA and Espana EM
To evaluate the efficacy and safety of topical Ivermectin- Metronidazol in the management of demodex infestation and their effect in Meibomian gland dysfunction (MGD) METHODS: Fifty-four patients (108 eyes) with demodex diagnosis and Meibomian gland dysfunction received Ivermectin 0.3 %+Metronidazole 0.5 % gel in the night for 5 weeks. Parameters were evaluated before and 8 weeks after the last application of IVM-MTZ. This includes demodex counts, OSDI tests, non-invasive breakup time (NIBUT), average noninvasive breakup time (AvNIBUT), and infrared meibography with the determination of glandular dropout.
Celebrating 30 years of an ongoing annual international contact lens prescribing survey (1996-2025)
Morgan PB and Efron N